Dasa Satyam

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD036767L Issued in PA

Practice address

468 Northampton St
Edwardsville, PA 18704-4566

Phone

(570) 718-1307

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Associates Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Wilkes Barre, PA
  • NPI 1295751915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1225088347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 NORTHAMPTON ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044566",
            "telephone_number": "570-718-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATYAM",
        "first_name": "DASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD036767L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dasa.satyam@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Ann Richards, PHARMD
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 02426)
• Rite Aid Pharmacy
• Rohit Singh MD PC
• Rural Health Corporation of Northeastern Pennsylvania (Valley Medical)
• Alysa Pat Scavone
• Maryann Ostrowski Schramm, CRNA
• Marci Lynn Barr Schwartz, SC.M.
• Charles Joseph Scrobola, M.D.
• Shelly a Levulis

• Interventional Pain Medicine Physician in Edwardsville, PA
• Providers in Edwardsville, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.